Thank you for your interest in Aetna Medicare Advantage plans. ...

P.O. Box 963
Blue Bell, PA 19422-9921
Thank you for your interest in Aetna Medicare Advantage plans. We hope you will become a member, and
look forward to serving you.
Becoming an Aetna Medicare member is simple. You will not lose your Original Medicare Parts A and B
benefits. You will simply get more value. With an Aetna Medicare plan, you can get extra benefits, like …
• $0 copay for preventive care, eye exams and hearing evaluations
• eyewear and hearing aid allowances
• health improvement coaching
• fitness benefits
• optional supplemental dental coverage
plus extra values and services, like discounts on dental services, vision products and services, alternative
health care program services, and more.
To get started, please review the enclosed Aetna Medicare information, which will help you choose the
plan that’s right for you:
ƒ Benefits at a Glance. Side-by-side comparisons of key plan features along with monthly plan
premiums and cost sharing amounts.
ƒ Prescription Drug Formulary (Preferred Drug List). A sample listing of covered prescription
drugs. When you enroll in a plan with prescription drug coverage, you’ll be covered for all
Medicare-approved Part D prescription drugs. You can get complete information about covered
medications by calling Aetna Medicare or visiting our website at www.aetnamedicare.com.
ƒ Summary of Benefits. A more complete description of plan benefits, terms and conditions.
If you enroll in Aetna Medicare coverage by December 31, 2008, your coverage will begin on January
1, 2009. If you are eligible for a special enrollment period you may be able to enroll at a time other than
the annual enrollment period. Aetna Medicare customer service can help determine if you are eligible for a
special election period.
Everyone who has Medicare Parts A and B and lives in our service area is eligible to join an Aetna
Medicare Advantage plan (except those who have End-Stage Renal Disease, unless certain exceptions
apply).
See inside for how to enroll and what to expect once you’re a member.
If you have questions or need help with enrolling, call an Aetna Medicare representative at
1-800-832-2640 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m.
Or visit our website at www.aetnamedicare.com
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How to Enroll in an Aetna Medicare Plan
Step 1 – Consider Your Choices
First, compare your plan options. Review the enclosed enrollment materials, and if you have any questions,
we can help so you can choose the plan that’s right for you:
ƒ
Call for personal assistance. We’ll help you compare plan choices. Call us for answers to your
questions at 1-800-832-2640 (TTY/TDD 1-800-628-3323), 8 a.m. to 6 p.m., Monday through Friday.
You may also call Medicare for more information about Medicare benefits and services, including
general information regarding the health or prescription drug benefit, at 1-800-MEDICARE (1-800633-4227) (TTY/TDD users should call 1-877-486-2048), 24 hours a day/7 days a week.
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Attend a meeting or schedule a personal visit with an Aetna sales representative. We hold local
meetings in many locations, or we can come to your home if you prefer. Visit our website at
www.aetnamedicare.com for schedules and locations. Or call us for information.
Step 2 –Enroll for Aetna Medicare Coverage
Select the plan that meets your needs – and choose one of four easy ways
to enroll.
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Enroll by mail
Complete the enrollment form and return it in the enclosed postagepaid envelope.
ƒ
Enroll online
You can enroll online at www.aetnamedicare.com.
Medicare beneficiaries may also enroll in an Aetna Medicare plan
through the Centers for Medicare & Medicaid Services Online
Enrollment Center, located at www.medicare.gov.
ƒ
If you’ll be using a primary
care physician, you’ll need to
select one at the time you
enroll. Find a doctor by using
DocFind on our website at
www.aetnamedicare.com or
call us for help. You can also
call to request a printed
provider directory, at 1-800832-2640 (TTY/TDD 1-800628-3323), Monday through
Friday, 8 a.m. to 6 p.m.
Enroll by phone
An Aetna Medicare representative can take your enrollment information over the phone. Just call tollfree 1-800-832-2640 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m.
You may also enroll by calling Medicare at 1-800-MEDICARE (1-800-633-4227) (TTY/TDD users
should call 1-877-486-2048), 24 hours a day/7 days a week.
ƒ
Enroll at a meeting or personal in-home visit
If you attend an informational meeting or schedule a personal visit with a sales representative, you can
find out about the plans and enroll at the same time. Visit our website at www.aetnamedicare.com for
schedules and locations, or call us for information.
If you have questions or need help with enrolling, call an Aetna Medicare representative at
1-800-832-2640 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m.
Or visit our website at www.aetnamedicare.com
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Once You’re a Member
When you enroll in one of our plans you’ll still have your Parts A and B coverage, but you will receive all
of your Medicare benefits through us. The Aetna Golden Medicare plan (HMO) is a Medicare Advantage
plan. Our company has a contract with the federal government to provide health care coverage for people
with Medicare. And you’ll get more -- an Aetna Medicare Advantage plan gives you extra benefits that
Original Medicare doesn’t provide, like worldwide coverage for emergency and urgently-needed care.
After you enroll:
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You’ll receive an Aetna Medicare member ID card. It’s the only card you’ll present when you go to the
doctor or have a prescription filled to get all the advantages of being an Aetna member.
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Remember to check whether a provider participates in our network before receiving routine services.
With the Aetna Golden Medicare Plan® HMO, you’ll exclusively use our Aetna Golden Medicare
network providers. By accessing medical services from a network provider, our HMO plan can offer a
cost-effective solution to your health care needs. In an HMO plan, if you obtain routine care from nonnetwork providers, neither Medicare nor Aetna will pay the costs. (Emergencies and out-of-area
urgently needed care and renal dialysis are always covered, of course.)
Our HMO plan requires you to use a primary care physician (PCP) to coordinate your care and provide
referrals to other health care providers in the Aetna Golden Medicare network.
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When you receive medical services, there is virtually no paperwork or claim forms. We work to make
using the benefits simple.
Remember …
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You must continue to pay your Medicare Part B premium (and Part A, if applicable) if not otherwise
paid for under Medicaid or by another third party. This is in addition to the plan premium, if any, for
your Aetna coverage.
ƒ
Take advantage of the extra savings you can receive as a member – like discounts on eyeglasses,
vitamins and other products and services.
ƒ
We are available to assist you when you have questions or just want to know more about your coverage.
Call the toll-free number listed on your member ID card to contact us.
If you have questions or need help with enrolling, call an Aetna Medicare representative at
1-800-832-2640 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m.
Or visit our website at www.aetnamedicare.com
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Benefits coverage is provided by Aetna Health Inc., Aetna Health of California Inc., and/or Aetna Health of
Illinois Inc., which are Medicare Advantage organizations with a Medicare contract, and benefits,
limitations, service areas and premiums are subject to change on January 1 of each year.
This material is for informational purposes only. See plan documents for a complete description of benefits,
exclusions, limitations and conditions of coverage. Plan features and availability may vary by location and
are subject to change.
You must be entitled to Medicare Part A and continue to pay your Part B premium and Part A, if
applicable.
Aetna Golden Medicare Plan (HMO): You must use network providers except for emergent or out-of-area
urgent care/renal dialysis. Aetna Golden Choice Plan (PPO): Higher costs apply for non-network services.
Precertification, or prior approval of coverage, is requested for certain services. Providers must be licensed
and eligible to receive payment under the federal Medicare program.
Translation of this material into another language may be available. For assistance, please call Member
Services at 1-800-832-2460 (TDD: 1-800-628-3323).
Puede estar disponible la traducción de este material en otro idioma. Para ayuda, por favor llame a
Servicios al Miembro al 1-800-832-2460 (TDD: 1-800-628-3323).
If you have questions or need help with enrolling, call an Aetna Medicare representative at
1-800-832-2640 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m.
Or visit our website at www.aetnamedicare.com
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